Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 01071283A | IN |
Y | 2080N0001X | Neonatal-Perinatal Doctor | 01071283A | IN |
N | 2080N0001X | Neonatal-Perinatal Doctor | 036155429 | IL |
N | 2080N0001X | Neonatal-Perinatal Doctor | 2015022189 | MO |
N | 2080N0001X | Neonatal-Perinatal Doctor | 35096198 | OH |
NPI | 1033313143 |
---|---|
Provider Name | Wambui Waruingi |
First Address | Saint Louis, MO 63110-2515 |
Second Address | Saint Louis, MO 63104-1003 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2007 |
Last Update Date | 27/01/2022 |