| NPI | 1497739809 |
|---|---|
| Former Name | AMY JOYCE ODOM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OK 32295) |
| Additional Taxonomies | 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: KY 36743) |
| 208000000X Pediatrics (Licence: KY 36743) | |
| 207LP3000X Anesthesiology Pediatric Anesthesiology (Licence: KY 36743) | |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2021-08-13 |