| NPI | 1942210562 |
|---|---|
| Former Name | MARY ELLEN A BOZYNSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MI 4301030741) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301030741) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2012-08-08 |