| NPI | 1992842462 |
|---|---|
| Former Name | SUSAN THERESA CARO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD445733) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX R1886) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2023-01-24 |