| NPI | 1396872933 |
|---|---|
| Former Name | LATASHA MONIQUE MCCAULLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: LA 320750) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 9700462) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: IN 01061173A) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: NC 2010-00434) | |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2020-07-31 |