NPI | 1043327570 |
---|---|
Former Name | MARJORIE AUGUSTA FROST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: CA G59536) |
Enumeration Date | 2006-08-23 |
Last Update Date | 2011-01-11 |