| NPI | 1659734606 |
|---|---|
| Former Name | VANESSA DIAMBOIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 61240) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN 61240) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2020-06-08 |