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 |