NPI | 1275748246 |
---|---|
Former Name | SUZANNE GWYNNE ROPER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: TX M8293) |
Additional Taxonomies | 2080C0008X Pediatrics, Child Abuse Pediatrics (Licence: IL 036-127420) |
Enumeration Date | 2007-05-13 |
Last Update Date | 2015-05-27 |