| NPI | 1578538740 |
|---|---|
| Former Name | SANDEEP JOHAL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA C55061) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 227120) |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2021-12-03 |