NPI | 1699095778 |
---|---|
Former Name | KENDRA RUTH DAVIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: PA MD449403) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT196948) |
Enumeration Date | 2010-06-10 |
Last Update Date | 2024-05-22 |