| NPI | 1164748828 |
|---|---|
| Former Name | PAMELA SOFIA CARLTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 276335) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 070350) |
| Enumeration Date | 2010-04-20 |
| Last Update Date | 2015-08-04 |