| NPI | 1407005713 |
|---|---|
| Former Name | BETHANY LOUISE STITT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NE 25455) |
| Additional Taxonomies | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: NE 25455) |
| Enumeration Date | 2008-09-10 |
| Last Update Date | 2016-09-28 |