| NPI | 1699192690 |
|---|---|
| Former Name | PRISCILLA CUSTODIO VILARINHO MEDEIROS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036142791) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2023-08-04 |