NPI | 1376562686 |
---|---|
Former Name | JENNIFER VASANTHI SELLAKUMAR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA C179310) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD424980) |
Enumeration Date | 2006-07-18 |
Last Update Date | 2023-03-24 |