| 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 |