NPI | 1619109972 |
---|---|
Former Name | ASHWINI P TIRTHAHALLI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: ND RL11177) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MN 73300) |
Enumeration Date | 2009-08-19 |
Last Update Date | 2024-11-26 |