| NPI | 1144754771 |
|---|---|
| Former Name | SHIRIN RUTH DEGIORGIO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: KY 55862) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OK 39514) |
| 208000000X Pediatrics (Licence: CA A161675) | |
| Enumeration Date | 2017-04-20 |
| Last Update Date | 2022-05-11 |