NPI | 1336306240 |
---|---|
Former Name | CHANDRA JAIPAL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME130034) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY dea 939) |
Enumeration Date | 2008-05-19 |
Last Update Date | 2022-07-21 |