| NPI | 1275972952 |
|---|---|
| Former Name | ANNETTE GEORGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: CT 75930) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301103398) |
| 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: TN MD0000054575) | |
| 261QP2300X Clinic/Center, Primary Care (Licence: MI 4301103398) | |
| Enumeration Date | 2013-06-17 |
| Last Update Date | 2024-09-04 |