| NPI | 1376527168 |
|---|---|
| Former Name | PUSHPA BALASUBRAMANIAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 36 064091) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301503653) |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2025-03-05 |