| NPI | 1093770356 |
|---|---|
| Former Name | CAROLYN ANN SULLIVAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: MD D40265) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD D40265) |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2024-05-02 |