NPI | 1659786358 |
---|---|
Former Name | AMANDA LEIGH DRUCKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: OR MD199128) |
Additional Taxonomies | 208000000X Pediatrics (Licence: OR MD199128) |
Enumeration Date | 2014-06-23 |
Last Update Date | 2020-08-20 |