| 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 | 390200000X Student in an Organized Health Care Education/Training Program |
| 208000000X Pediatrics (Licence: SC 89683) | |
| Enumeration Date | 2020-04-07 |
| Last Update Date | 2025-10-08 |