| NPI | 1407235088 |
|---|---|
| Former Name | EMILY MARIE LENZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MN 67847) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IA R-10262) |
| 208000000X Pediatrics (Licence: IA MD-45077) | |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2020-11-09 |