| NPI | 1861888471 |
|---|---|
| Former Name | ANNE ALEXANDRA ODOM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: CA A196492) |
| Additional Taxonomies | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: NY 321435-01) |
| 208000000X Pediatrics (Licence: CA A196492) | |
| 208000000X Pediatrics (Licence: VA 0101264038) | |
| 208000000X Pediatrics (Licence: NY 2275498) | |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2024-07-25 |