| NPI | 1215949276 |
|---|---|
| Former Name | AUDREY RAGAN ODOM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: PA MD468283) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD468283) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2026-07-10 |