| NPI | 1578741500 |
|---|---|
| Former Name | CHARLENE DAVENPORT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: VA 0101251590) |
| Enumeration Date | 2008-01-31 |
| Last Update Date | 2015-09-09 |