NPI | 1992117097 |
---|---|
Former Name | BRIANNA NICOLE CONFORTI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: TN 55866) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2014-05-22 |
Last Update Date | 2022-03-25 |