NPI | 1659728525 |
---|---|
Former Name | DEBRA C. OKAFOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: TX S2135) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TX S2135) |
Enumeration Date | 2016-05-19 |
Last Update Date | 2023-05-08 |