| NPI | 1588806343 |
|---|---|
| Former Name | MARLA KOSYDAR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OR MD173334) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD60340307) |
| Enumeration Date | 2009-03-25 |
| Last Update Date | 2021-01-16 |