| NPI | 1326143611 |
|---|---|
| Former Name | JACQUELINE A NUNALLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D0041853) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: MD D0041853) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2026-03-04 |