| NPI | 1063832574 |
|---|---|
| Former Name | SOPHIA KUMBANATTEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX R9297) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX R9297) |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2021-06-22 |