| NPI | 1497812507 |
|---|---|
| Former Name | SUJA SEBASTIAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 043376) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A 101405) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2007-12-31 |