| NPI | 1679532964 |
|---|---|
| Former Name | LYNNE SUSAN RANDLES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036134635) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 04-25457) |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2014-08-22 |