NPI | 1447749544 |
---|---|
Former Name | VICTORIA SHULAMI MAGLOIRE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: GA 100451) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
208000000X Pediatrics (Licence: KY 55225) | |
Enumeration Date | 2018-05-03 |
Last Update Date | 2024-07-25 |