| 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 |