NPI | 1235213935 |
---|---|
Former Name | LISA M GALLO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: SC 27139) |
Additional Taxonomies | 208000000X Pediatrics (Licence: SC 27139) |
Enumeration Date | 2006-10-25 |
Last Update Date | 2018-03-23 |