| NPI | 1851742357 |
|---|---|
| Former Name | CHEYENNE JO THANNIKKOTU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 300795) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2016-06-26 |
| Last Update Date | 2023-07-03 |