| NPI | 1215566682 |
|---|---|
| Former Name | TONI JOHNETTE ROCKHOLT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2025-02993) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC 89683) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-04-07 |
| Last Update Date | 2026-01-12 |