| NPI | 1639346455 | 
|---|---|
| Former Name | MURTY GANTI GOUDAR | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: VA 0101247175)  | 
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 141516)  | 
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0101247175)  | |
| Enumeration Date | 2008-05-12 | 
| Last Update Date | 2024-07-09 |