NPI | 1508864638 |
---|---|
Former Name | ALISE MARY AMATO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: AZ 63116) |
Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101233351) |
Enumeration Date | 2005-07-12 |
Last Update Date | 2022-05-26 |