| NPI | 1801113220 |
|---|---|
| Former Name | JOANA LOUISE RILEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080S0010X Pediatrics, Sports Medicine (Licence: MA 256327) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 256327) |
| Enumeration Date | 2010-04-25 |
| Last Update Date | 2016-08-25 |