| NPI | 1578766895 |
|---|---|
| Former Name | TAMORAH RAE ROARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MO 2014018768) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2014-07-01 |