NPI | 1770718140 |
---|---|
Former Name | ELIZABETH MARY FIORE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 174400000X Specialist |
Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
Enumeration Date | 2009-05-28 |
Last Update Date | 2014-07-09 |