| NPI | 1104937093 |
|---|---|
| Former Name | MARA WELLS VOLKOMMER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD60170884) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA ML20008684) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2010-11-19 |