NPI | 1194083386 |
---|---|
Former Name | BRIDGET M OLIVERI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: RI MD17889) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NH 17125) |
208000000X Pediatrics (Licence: NY 285507) | |
Enumeration Date | 2012-04-25 |
Last Update Date | 2021-07-02 |