| NPI | 1760910780 |
|---|---|
| Former Name | KATHRYN MARISSA PAOLUCCI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD470136) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT212738) |
| Enumeration Date | 2017-06-03 |
| Last Update Date | 2022-07-21 |