| NPI | 1720280019 |
|---|---|
| Former Name | DHANYA PURAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036116235) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 36116235) |
| 208000000X Pediatrics (Licence: VA 0101244554) | |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2021-08-09 |