| NPI | 1740349372 |
|---|---|
| Former Name | VIDHYALAKSHMI TAYI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A60821) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A60821) |
| 208D00000X General Practice (Licence: CA A60821) | |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2021-07-19 |