| NPI | 1184621112 |
|---|---|
| Former Name | DEJIE JOSEPH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101277377) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KY 36552) |
| 208000000X Pediatrics (Licence: NC 201301925) | |
| Enumeration Date | 2005-07-06 |
| Last Update Date | 2023-07-31 |