| NPI | 1164702049 |
|---|---|
| Former Name | SAVARRA MARIE PETERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: ID M-15442) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD455508) |
| Enumeration Date | 2011-08-23 |
| Last Update Date | 2023-12-15 |