NPI | 1841566494 |
---|---|
Former Name | KAROLINE MAMMEN KORAH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: FL OS14231) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2012-03-28 |
Last Update Date | 2022-02-01 |