| NPI | 1700044047 |
|---|---|
| Former Name | KATHERINE ANNE PASSANTINO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MT189401) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA08729400) |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2023-03-29 |