| NPI | 1275797565 |
|---|---|
| Former Name | VALERIE TACKABURY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MI 4301097836) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301097836) |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2014-07-08 |