NPI | 1639599814 |
---|---|
Former Name | PRAVEENA K LAKIREDDY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: TX R2987) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TX BP10050870) |
Enumeration Date | 2014-04-26 |
Last Update Date | 2022-02-09 |