| NPI | 1376842153 |
|---|---|
| Former Name | CYNTHIA SUE DEMASTES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: KY 03643) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KY 03643) |
| Enumeration Date | 2011-03-20 |
| Last Update Date | 2020-10-13 |