NPI | 1700269370 |
---|---|
Former Name | RHONDA KAY ENDECOTT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080H0002X (Licence: TX U0598) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IA R-10673) |
2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: TX U0598) | |
208600000X Surgery (Licence: MI 4301107341) | |
Enumeration Date | 2015-07-01 |
Last Update Date | 2023-12-12 |