NPI | 1376688481 |
---|---|
Former Name | RONDA ADHAM ZULICH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: CA A97521) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NV 16810) |
208000000X Pediatrics (Licence: UT 9066314-1205) | |
208000000X Pediatrics (Licence: UT 9066314-8905) | |
Enumeration Date | 2007-02-20 |
Last Update Date | 2022-05-03 |