| NPI | 1619130655 | 
|---|---|
| Former Name | CARLA DEMETERCO | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A98629) | 
| Additional Taxonomies | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: CA A98629) | 
| Enumeration Date | 2008-07-09 | 
| Last Update Date | 2008-07-09 |