| NPI | 1861953051 |
|---|---|
| Former Name | STEPHANIE LYDIA GALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: CA A178656) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 30245) |
| 208000000X Pediatrics (Licence: MN 67901) | |
| Enumeration Date | 2019-03-29 |
| Last Update Date | 2024-05-10 |