| NPI | 1184087413 |
|---|---|
| Former Name | LORETTA MARIE MODICA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: AL DO.3308) |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2023-06-28 |