NPI | 1558347252 |
---|---|
Former Name | SUSAN GRAY KASELONIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NM 81-210) |
Enumeration Date | 2005-12-15 |
Last Update Date | 2007-07-08 |