| NPI | 1649409400 |
|---|---|
| Former Name | VANITHA ISAAC JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MI 4301104104) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 125-056436) |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2013-07-31 |