NPI | 1265775043 |
---|---|
Former Name | JESSICA MARGARET KRAYNIK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: CO DR.0056693) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CO DR.0056693) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2013-03-31 |
Last Update Date | 2022-10-20 |