| NPI | 1548823776 |
|---|---|
| Former Name | CECELIA ELAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: UT 11912789-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 11912789-1205) |
| Enumeration Date | 2019-04-14 |
| Last Update Date | 2024-01-30 |