| NPI | 1326360967 |
|---|---|
| Former Name | ROSHNI RAGHURAM PRABHU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: MD C04163) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: MD C0004163) |
| Enumeration Date | 2010-02-24 |
| Last Update Date | 2017-04-05 |