NPI | 1265060461 |
---|---|
Former Name | AKSHAYA SURESH KANNAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME168027) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A191818) |
Enumeration Date | 2020-04-01 |
Last Update Date | 2025-01-09 |