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 |