NPI | 1609371152 |
---|---|
Former Name | ANEESA THANNICKAL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VT 042.0016080) |
Additional Taxonomies | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: VT 042.0016080) |
Enumeration Date | 2018-03-27 |
Last Update Date | 2024-01-22 |