| NPI | 1265560809 |
|---|---|
| Former Name | JILLIAN SARAH GEIDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: VT 042-0011334) |
| Additional Taxonomies | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: NY 305739) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2025-10-27 |