| NPI | 1417464132 |
|---|---|
| Former Name | SUGANYA SRIDHARMA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: PA MT231120) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2018-01-03 |
| Last Update Date | 2024-06-14 |