| NPI | 1700806254 |
|---|---|
| Former Name | SHIRLEY ANA MATHEW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036108964) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A93448) |
| 207R00000X Internal Medicine (Licence: IL 036108964) | |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2021-07-08 |