| NPI | 1821230319 | 
|---|---|
| Former Name | AVANTHI TAYI | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: TX P3978) | 
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A124972) | 
| 208000000X Pediatrics (Licence: TX P3978) | |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: CA A124972) | |
| Enumeration Date | 2009-03-30 | 
| Last Update Date | 2020-12-14 |