| 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 |