| NPI | 1316331960 |
|---|---|
| Former Name | JELENA KRAVIC |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WI 68579) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2015-03-21 |
| Last Update Date | 2018-06-08 |