| NPI | 1841686573 |
|---|---|
| Former Name | AMY KOSEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: MN 67478) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 67478) |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2020-07-15 |