| NPI | 1194983304 |
|---|---|
| Former Name | ROANNA TRISDORFER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D0082378) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DC MD040304) |
| 208000000X Pediatrics (Licence: NY 252656-1) | |
| Enumeration Date | 2008-05-26 |
| Last Update Date | 2021-09-01 |