NPI | 1619062809 |
---|---|
Former Name | DEANNA RAE TODD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: KY 39283) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 39283) |
208000000X Pediatrics (Licence: KY 39283) | |
Enumeration Date | 2006-10-04 |
Last Update Date | 2020-10-29 |