NPI | 1518915271 |
---|---|
Former Name | TAMMY KAYE WRIGHT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: KY 35443) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01055170A) |
Enumeration Date | 2006-05-05 |
Last Update Date | 2024-04-04 |