| NPI | 1184251613 |
|---|---|
| Former Name | MIKAYLA GALLENBERGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: UT 12404278-1205) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: UT 12404278-1205) |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2023-07-09 |