| NPI | 1750566394 |
|---|---|
| Former Name | JAYASANKARI PONNUSAMY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N0373) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036119470) |
| Enumeration Date | 2008-01-02 |
| Last Update Date | 2018-04-13 |