| NPI | 1447515853 |
|---|---|
| Former Name | SANDHYA MANIVANNAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD60717353) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 151241) |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2022-05-16 |