| NPI | 1306377155 |
|---|---|
| Former Name | MICHELLE E KING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WI 73857) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 28381) |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2023-10-31 |