NPI | 1144437328 |
---|---|
Former Name | LYNELLE M. ROBERTS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: CA C204195) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA C204195) |
Enumeration Date | 2007-05-17 |
Last Update Date | 2025-09-16 |