| NPI | 1508023508 |
|---|---|
| Former Name | REBECCA MAH ROTELLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NM MD2011-0185) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2024-01-16 |