| NPI | 1164501573 |
|---|---|
| Former Name | SUSAN PENA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: OH 35.088487) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.088487) |
| Enumeration Date | 2006-11-04 |
| Last Update Date | 2023-10-05 |