NPI | 1114422870 |
---|---|
Former Name | VANESSA TAYLOR BRAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TN 70842) |
Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: FL ME150052) |
Enumeration Date | 2018-03-26 |
Last Update Date | 2024-09-22 |