NPI | 1003266545 |
---|---|
Former Name | VISHVANIE BERNADENE JAYASUNDERA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: MI 4301117290) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301109775) |
Enumeration Date | 2016-06-15 |
Last Update Date | 2022-10-12 |