| NPI | 1326363581 |
|---|---|
| Other Name | KIMBERLY JOANNA GRANTZ-WOLF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA 20A16000) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 34010573) |
| Enumeration Date | 2010-03-31 |
| Last Update Date | 2017-12-04 |