| NPI | 1609114032 |
|---|---|
| Former Name | JOANNE VANESSA ORTIZ FLORES DE HOLLIMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX S2063) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AR E-8139) |
| Enumeration Date | 2013-01-18 |
| Last Update Date | 2019-07-11 |