| NPI | 1841456324 |
|---|---|
| Former Name | REBECCA JO KADLEC |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: ND 11565) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 51.013675) |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2022-03-25 |