NPI | 1710379532 |
---|---|
Former Name | SRIVARSHINI ELLAPRAGADA CHERUKUPALLI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: CA A165878) |
Additional Taxonomies | 208600000X Surgery (Licence: TX U9314) |
Enumeration Date | 2015-03-03 |
Last Update Date | 2025-09-29 |