NPI | 1467194605 |
---|---|
Former Name | JENNIFER WEEKES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: UT 13521418-1205) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 13521418-1205) |
Enumeration Date | 2022-04-08 |
Last Update Date | 2024-03-20 |