| NPI | 1942738448 |
|---|---|
| Former Name | MONICA WAGH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX S7320) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301112227) |
| Enumeration Date | 2017-05-26 |
| Last Update Date | 2023-05-08 |