NPI | 1073834735 |
---|---|
Former Name | BIJI JOSEPH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 53600-0200) |
Additional Taxonomies | 208D00000X General Practice (Licence: WI 53600- 020) |
Enumeration Date | 2010-06-17 |
Last Update Date | 2025-01-23 |