NPI | 1639386691 |
---|---|
Former Name | SUNEETA SUREKHA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A102849) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 390200000X) |
Enumeration Date | 2007-05-17 |
Last Update Date | 2024-06-04 |