| NPI | 1861460461 |
|---|---|
| Former Name | TOSAN NANNA-OBI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: NJ 25MA05074000) |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2007-08-23 |