| NPI | 1164659934 |
|---|---|
| Former Name | SOSUN ZIA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 10101251326) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ permit) |
| 208000000X Pediatrics (Licence: DE C10009218) | |
| 208D00000X General Practice (Licence: DE C10009218) | |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2012-09-10 |