| NPI | 1023306628 |
|---|---|
| Former Name | SITALAKSHMI JAYAMANI ROSHAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 054117) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CT 1023306628) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-07-16 |
| Last Update Date | 2021-04-20 |