| NPI | 1386829752 |
|---|---|
| Former Name | ANDREA LUCIA FORMOLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 060395) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 001324) |
| Enumeration Date | 2008-01-04 |
| Last Update Date | 2009-10-10 |