| NPI | 1730569211 |
|---|---|
| Former Name | ANISHA ANTHONY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036147131) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 209498) |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2020-10-01 |