| NPI | 1447355359 |
|---|---|
| Former Name | JACQUELINE L FRIDGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: OR MD207395) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2022-02-01 |