NPI | 1407923337 |
---|---|
Former Name | SUNILA P ABRAHAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX N9113) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 233497) |
207QG0300X Family Medicine, Geriatric Medicine (Licence: NY 233497) | |
207QG0300X Family Medicine, Geriatric Medicine (Licence: TX N9113) | |
Enumeration Date | 2006-11-29 |
Last Update Date | 2020-03-03 |