| NPI | 1710568258 |
|---|---|
| Former Name | NATALIE POONAM PHAGU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CT 80967) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO DR.0073199) |
| Enumeration Date | 2021-04-16 |
| Last Update Date | 2025-06-30 |