| NPI | 1659702819 |
|---|---|
| Former Name | SIVA PAVANI PUPPALA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD462023) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A161250) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-12-12 |
| Last Update Date | 2022-03-29 |