NPI | 1821482977 |
---|---|
Former Name | SAMANTHA JOAN PALMACCIO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: OH 35.141286) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CT 61690) |
2080H0002X (Licence: OH 35.141286) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-03-26 |
Last Update Date | 2022-02-22 |