NPI | 1114271798 |
---|---|
Former Name | KRISTEN MARIE MANNIER AND SOFIA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: AZ 5200) |
Enumeration Date | 2012-11-02 |
Last Update Date | 2021-07-15 |