NPI | 1659697662 |
---|---|
Former Name | TONI ROCHELLE O'REGGIO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: GA 79512) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TN 49746) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2010-04-15 |
Last Update Date | 2018-03-17 |