NPI | 1275995672 |
---|---|
Former Name | LYNNDSEY KLENK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2021047688) |
Additional Taxonomies | 208000000X Pediatrics (Licence: GA 008331) |
208000000X Pediatrics (Licence: KS 04-45531) | |
Enumeration Date | 2016-03-24 |
Last Update Date | 2022-01-14 |