NPI | 1629500913 |
---|---|
Former Name | EMILY ELIZABETH KINGRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: RI MD20408) |
Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101268906) |
Enumeration Date | 2017-03-28 |
Last Update Date | 2025-04-03 |