NPI | 1558696989 |
---|---|
Former Name | VIDHYA LAKSHMI RAVI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 74301) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: KY 45486) |
Enumeration Date | 2009-10-02 |
Last Update Date | 2024-08-29 |