| NPI | 1700272291 |
|---|---|
| Former Name | EMILY REBECCA DADDESIO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OR MD210443) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD210443) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: WA MD61142779) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-04-10 |
| Last Update Date | 2022-08-16 |