| NPI | 1134324148 |
|---|---|
| Former Name | IRA PAULA YUSUP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A112875) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD431846) |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2020-07-01 |