| NPI | 1619131513 |
|---|---|
| Former Name | SUSHMA KANTHALA REDDY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IL 036126654) |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2013-01-24 |