| NPI | 1144520156 |
|---|---|
| Former Name | SIRISHA JUPUDY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 30238) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019.028467) |
| Enumeration Date | 2010-10-25 |
| Last Update Date | 2014-07-28 |