NPI | 1053601369 |
---|---|
Former Name | RANGA JYOTHI PATRI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C163119) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD456265) |
Enumeration Date | 2011-04-08 |
Last Update Date | 2024-01-12 |