| NPI | 1023374360 |
|---|---|
| Former Name | JULIE LUCY GRYGUC |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: NH 19667) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NH 19667) |
| 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: RI DO00835) | |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2019-09-05 |