| NPI | 1679575021 |
|---|---|
| Former Name | SHIRLEY JOHN KAITHACKACHALIL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD068587L) |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2017-05-09 |