NPI | 1417342148 |
---|---|
Former Name | KRISTIN MARIE KALITA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35.145463) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036.156103) |
2080H0002X (Licence: OH 35.145463) | |
2080H0002X (Licence: IL 036.156103) | |
Enumeration Date | 2015-03-31 |
Last Update Date | 2022-08-04 |