NPI | 1932636511 |
---|---|
Former Name | KATHERINE GENZINK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4301112371) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MI 1932636511) |
Enumeration Date | 2017-05-15 |
Last Update Date | 2023-07-03 |