| NPI | 1487865978 |
|---|---|
| Former Name | JANICE PRIDE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 281853) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN MD 40684) |
| 208000000X Pediatrics (Licence: NJ MD 62966) | |
| 208000000X Pediatrics (Licence: NY MD 1582941) | |
| 208000000X Pediatrics (Licence: LA LA MD 13859R) | |
| 208000000X Pediatrics (Licence: NV MD 11342) | |
| 208000000X Pediatrics (Licence: CA G151811) | |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2020-03-11 |