NPI | 1306063466 |
---|---|
Former Name | NAVEENA VINDHYA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: NY 242173) |
Additional Taxonomies | 2080H0002X (Licence: NY 242173) |
2080H0002X (Licence: FL ME 99401) | |
208000000X Pediatrics (Licence: FL ME 99401) | |
Enumeration Date | 2007-04-19 |
Last Update Date | 2008-07-31 |