NPI | 1679833669 |
---|---|
Former Name | MARY ELIZABETH HUGHES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: CO 60847) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301100614) |
Enumeration Date | 2012-05-23 |
Last Update Date | 2019-02-04 |