NPI | 1669760468 |
---|---|
Former Name | SATYA S VITTALA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: AZ 50690) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
208000000X Pediatrics (Licence: CA A128129) | |
Enumeration Date | 2011-07-13 |
Last Update Date | 2019-01-02 |