| NPI | 1689893885 |
|---|---|
| Former Name | SUVY VATTASSERIL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME111386) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 243468) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2018-08-15 |