| NPI | 1407317688 |
|---|---|
| Former Name | SUMA KOLLA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: OH 34.015770) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 34.015770) |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2025-09-11 |