| NPI | 1982612297 |
|---|---|
| Former Name | KIRA ELIZABETH MARCINIAK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 92145) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 257314) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2022-11-18 |