NPI | 1992029466 |
---|---|
Former Name | DIVYA SEETHARAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: TX P6702) |
Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TX P6702) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2010-03-26 |
Last Update Date | 2019-04-04 |