| NPI | 1023126372 |
|---|---|
| Former Name | MARION ROSE SPENCE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: KS 0426834) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 112174) |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2010-12-01 |