| NPI | 1205584380 |
|---|---|
| Professional Name | SRIVIDYA GANESH IYER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: GA RN240200) |
| Enumeration Date | 2022-03-16 |
| Last Update Date | 2022-03-16 |