NPI | 1275507360 |
---|---|
Former Name | MELISSA MARIE MAURO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: MA 243051) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD427654) |
208000000X Pediatrics (Licence: LA MD202157) | |
Enumeration Date | 2006-02-15 |
Last Update Date | 2023-08-14 |