NPI | 1740608777 |
---|---|
Former Name | TASHYA G JAYASURIYA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: HI MD-22299) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA A152829) |
Enumeration Date | 2014-04-07 |
Last Update Date | 2022-07-25 |