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 |