NPI | 1679702260 |
---|---|
Former Name | GRACE AMY SEECHARAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 49254) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MS T2133) |
207Q00000X Family Medicine (Licence: MS 21715) | |
Enumeration Date | 2009-07-06 |
Last Update Date | 2019-08-07 |