| NPI | 1184001992 |
|---|---|
| Other Name | KATYA BOUCEK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: LA 333014) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 208000000X Pediatrics (Licence: SC 38058) | |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2022-10-26 |