NPI | 1538663547 |
---|---|
Former Name | MARIA VICTORIA TULLOCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD61171197) |
Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: WA MD61171197) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-03-23 |
Last Update Date | 2021-08-12 |