NPI | 1942707948 |
---|---|
Former Name | MARLAYNA CORRINE TOWNSEND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: UT 11393184-1205) |
Additional Taxonomies | 208000000X Pediatrics (Licence: UT 11393184-1205) |
Enumeration Date | 2018-04-07 |
Last Update Date | 2025-06-13 |