| NPI | 1467713792 |
|---|---|
| Former Name | AMANDA DELAURENTIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080C0008X Pediatrics, Child Abuse Pediatrics (Licence: VT 042-0015059-COMP) |
| Additional Taxonomies | 2080C0008X Pediatrics, Child Abuse Pediatrics |
| 208000000X Pediatrics (Licence: VT 042-0015059-COMP) | |
| Enumeration Date | 2012-06-04 |
| Last Update Date | 2021-02-02 |