NPI | 1497955371 |
---|---|
Former Name | LAKSHMI PRIYA MAKAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A112574) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: ID M-14454) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: NV LL1821) | |
Enumeration Date | 2007-07-19 |
Last Update Date | 2022-02-11 |