NPI | 1114289147 |
---|---|
Former Name | DANIELLE KUZELA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: NE 28426) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NE 6792) |
Enumeration Date | 2012-06-14 |
Last Update Date | 2018-09-17 |