| 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 |