| NPI | 1326335514 |
|---|---|
| Former Name | EVORA JUANITA NEWBY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: IL 036138274) |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2021-03-24 |