| NPI | 1053429811 |
|---|---|
| Former Name | VENGUSAMY SHAKUNTHALA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35068097) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301062202) |
| 208000000X Pediatrics (Licence: IL 036054222) | |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2007-07-08 |