NPI | 1659674711 |
---|---|
Former Name | ANGELA PREETIKA LAL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 48209) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME65140) |
Enumeration Date | 2010-12-13 |
Last Update Date | 2020-03-03 |