| NPI | 1659717536 |
|---|---|
| Former Name | PRIYA SUSAN KURIAKOSE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 75552) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2013-05-17 |
| Last Update Date | 2016-08-29 |