NPI | 1770872475 |
---|---|
Former Name | KELLEN C KOLINSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: WI 60325) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
390200000X Student in an Organized Health Care Education/Training Program (Licence: WI 60325) | |
Enumeration Date | 2011-04-04 |
Last Update Date | 2019-08-28 |