| NPI | 1508987793 |
|---|---|
| Former Name | RONNIKA S COLBERT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 060848) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA RTP 001205) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2019-10-07 |