NPI | 1528225240 |
---|---|
Former Name | MICHELLE R ADDORISIO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: DC MD037544) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MD D0067769) |
Enumeration Date | 2008-05-20 |
Last Update Date | 2008-09-30 |