| NPI | 1710254743 |
|---|---|
| Former Name | SOWMYA MARIAM OOMMEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: OR PA213049) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2011-11-18 |
| Last Update Date | 2024-06-25 |