NPI | 1194067769 |
---|---|
Former Name | VIVIAN CHUKWU |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: TX R3727) |
Additional Taxonomies | 208000000X Pediatrics (Licence: AR E-9947) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2013-03-21 |
Last Update Date | 2023-05-08 |