NPI | 1194006742 |
---|---|
Former Name | POOJA KRISHNAPPA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036134361) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125.060705) |
Enumeration Date | 2011-09-08 |
Last Update Date | 2018-10-19 |