NPI | 1861758005 |
---|---|
Former Name | TAMAR NAZERIAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: CA 20A 13040) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA 20A 13040) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2012-04-02 |
Last Update Date | 2021-12-01 |