NPI | 1679514020 |
---|---|
Former Name | KAREN SUSAN PENKO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: MD D0104393) |
Additional Taxonomies | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: OH 35.079584) |
Enumeration Date | 2006-06-09 |
Last Update Date | 2025-08-27 |