| NPI | 1386105278 |
|---|---|
| Former Name | LARISSA NKOUAMI PAMEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CT 82999) |
| Additional Taxonomies | 208600000X Surgery (Licence: NJ 25MA12172800) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2025-09-12 |