| NPI | 1245294958 |
|---|---|
| Former Name | GOMATHI GANESAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 233282-1) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA07768600) |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2012-03-09 |