NPI | 1043670102 |
---|---|
Former Name | REENA PUSHPANGADAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: PA RN-505559L) |
Enumeration Date | 2016-03-02 |
Last Update Date | 2016-03-02 |