| 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 |