NPI | 1235519976 |
---|---|
Former Name | NICOLE KALINSKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: MA 274856) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MA 263689) |
Enumeration Date | 2015-06-08 |
Last Update Date | 2018-08-02 |