NPI | 1598119323 |
---|---|
Former Name | JENESIS M NEGRON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: TN 0000059943) |
Enumeration Date | 2016-04-18 |
Last Update Date | 2024-05-23 |