| NPI | 1104115963 |
|---|---|
| Former Name | SOWMYA RAVI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: WA MD60648465) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: WA MD606048465) |
| Enumeration Date | 2011-04-01 |
| Last Update Date | 2021-08-04 |