| 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 |