NPI | 1235391400 |
---|---|
Former Name | SUBHASRI L MANDA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: PA MD433934) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD433934) |
2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NJ 25MA08961800) | |
Enumeration Date | 2008-06-30 |
Last Update Date | 2015-06-30 |