| NPI | 1598225989 |
|---|---|
| Former Name | AMY ZAWACKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: IN 01095941A) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.145132) |
| Enumeration Date | 2019-03-21 |
| Last Update Date | 2025-09-22 |