NPI | 1063646651 |
---|---|
Former Name | SHOBANA ARVIND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A116787) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MT-193076) |
Enumeration Date | 2009-05-11 |
Last Update Date | 2016-11-22 |