| NPI | 1063672145 |
|---|---|
| Former Name | MILLIE SURATI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A132755) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA A132755) |
| 207Y00000X Otolaryngology (Licence: NC 2009-01996) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 2009-01996) | |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2023-10-27 |