NPI | 1710568258 |
---|---|
Former Name | NATALIE POONAM PHAGU |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR.0073199) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2021-04-16 |
Last Update Date | 2024-04-11 |