NPI | 1407048028 |
---|---|
Other Name | KOUSALYA PENDELA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME99943) |
Additional Taxonomies | 208000000X Pediatrics (Licence: GA 60230) |
Enumeration Date | 2007-08-16 |
Last Update Date | 2020-06-03 |