NPI | 1861717464 |
---|---|
Former Name | KENDALL DENISE AGOCHUKWU |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: GA 77694) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2013-01164) |
Enumeration Date | 2010-04-07 |
Last Update Date | 2022-03-08 |