| NPI | 1548299191 |
|---|---|
| Former Name | SUSAN RYAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080C0008X Pediatrics, Child Abuse Pediatrics (Licence: SC 12414) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC 12414) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2018-03-23 |