NPI | 1164614632 |
---|---|
Former Name | KARA MARIE KISLING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: OR MD205847) |
Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD60015077) |
Enumeration Date | 2007-08-17 |
Last Update Date | 2024-08-11 |