NPI | 1487920658 |
---|---|
Former Name | DIVYA JAYARAMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: CO 59739) |
Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: UT 10327985-1205) |
2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: UT 10327985-1205) | |
Enumeration Date | 2012-03-31 |
Last Update Date | 2023-03-07 |