NPI | 1477753002 |
---|---|
Former Name | TONYA FAY BRAKEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: MD D71525) |
Additional Taxonomies | 208000000X Pediatrics (Licence: DC MD039518) |
Enumeration Date | 2007-07-22 |
Last Update Date | 2025-03-26 |