| NPI | 1851616056 |
|---|---|
| Former Name | KELLY BETH TRANGSRUD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: CA A120042) |
| Enumeration Date | 2010-03-30 |
| Last Update Date | 2020-06-05 |