| NPI | 1770710394 |
|---|---|
| Former Name | PRASHANTHI JAGANANTHAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TX p6394) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP1-0034031) |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2014-06-30 |