NPI | 1619321437 |
---|---|
Former Name | SHEETAL KRISHNAKUMAR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR DO211358) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA OL60855321) |
Enumeration Date | 2016-04-18 |
Last Update Date | 2023-02-10 |