NPI | 1588873939 |
---|---|
Former Name | ANITHA GURUSAMI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101243834) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301085321) |
208000000X Pediatrics (Licence: TX N7454) | |
Enumeration Date | 2007-05-22 |
Last Update Date | 2011-09-30 |