| NPI | 1962665042 |
|---|---|
| Former Name | LILI NELL BANAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: DC MD039707) |
| Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: NY 247452-1) |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2014-01-28 |