| NPI | 1124171038 |
|---|---|
| Former Name | SMITHA RAMACHANDRAN KOEMMEDATH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD432406) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD D66537) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2024-08-30 |