NPI | 1407969827 |
---|---|
Former Name | KATRICE L HERNDON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301077884) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301077884) |
Enumeration Date | 2006-08-17 |
Last Update Date | 2024-08-12 |