NPI | 1194957829 |
---|---|
Former Name | SHARMILA MANDANNA GUMMATIRA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202002498) |
Enumeration Date | 2009-08-13 |
Last Update Date | 2009-08-13 |