NPI | 1417013368 |
---|---|
Former Name | MANJULATHA NUKALA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2083P0011X Preventive Medicine Undersea and Hyperbaric Medicine (Licence: TX M7480) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX M7480) |
Enumeration Date | 2006-12-28 |
Last Update Date | 2021-11-12 |