NPI | 1093125403 |
---|---|
Former Name | TRISHA PADMINI KISSOON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: FL ME131142) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2014-05-07 |
Last Update Date | 2021-08-13 |