| NPI | 1518306703 |
|---|---|
| Former Name | JANNA RAE GEWIRTZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: MN 58035) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 58035) |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2021-07-12 |