| NPI | 1861606378 |
|---|---|
| Former Name | ELYSE DARA PINE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D72266) |
| Additional Taxonomies | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: MD D72266) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2022-01-31 |