NPI | 1770995771 |
---|---|
Former Name | SUSAN VLADIMIROV |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: NY 275286) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2014-05-24 |
Last Update Date | 2018-09-06 |