| NPI | 1508983644 |
|---|---|
| Other Name | KAY MUKKAVILLI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 29911) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME134144) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: FL ME134144) | |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2020-02-26 |