NPI | 1689028953 |
---|---|
Former Name | ANUSHA MOOLKY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: IL 336.109955) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IL 1689028953) |
Enumeration Date | 2016-04-22 |
Last Update Date | 2020-04-22 |