| NPI | 1134198195 |
|---|---|
| Former Name | KATHLEEN ANN SORIA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OK 17805) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: OK 17805) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2022-07-06 |