| NPI | 1962562991 |
|---|---|
| Other Name | PAMELA BLANCHE KETRON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OK 25448) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.060949) |
| 208000000X Pediatrics (Licence: VA 0101050631) | |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2023-01-05 |