NPI | 1376741751 |
---|---|
Former Name | MANJEERA GORLA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N9440) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD432382) |
Enumeration Date | 2007-07-06 |
Last Update Date | 2013-04-19 |