| NPI | 1356679948 |
|---|---|
| Former Name | JENNIFER M DAVIDOV |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD60311888) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: UT 8684436-1205) |
| 208000000X Pediatrics (Licence: AZ R71570) | |
| Enumeration Date | 2009-11-19 |
| Last Update Date | 2014-09-18 |