NPI | 1821659145 |
---|---|
Former Name | MOLLY KNECHT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: MO 2021036581) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2021036581) |
Enumeration Date | 2019-06-26 |
Last Update Date | 2025-02-05 |