NPI | 1700812112 |
---|---|
Former Name | STEPHANIE ANN ABELLO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N1173) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TX N1173) |
Enumeration Date | 2006-06-25 |
Last Update Date | 2022-01-25 |