| NPI | 1265539522 |
|---|---|
| Former Name | KERRY MYCHALISKA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036174300) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301076390) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2026-06-23 |