| NPI | 1609841584 |
|---|---|
| Former Name | THERESA ANN KEHL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: NC 2022-03054) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NE 23515) |
| 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: NE 23515) | |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2024-03-06 |