| NPI | 1609409606 |
|---|---|
| Former Name | ERICA BUCKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NE 33952) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 208D00000X General Practice (Licence: NE 33952) | |
| Enumeration Date | 2020-02-18 |
| Last Update Date | 2023-08-16 |