| NPI | 1760478796 |
|---|---|
| Other Name | VISA SRINIVASAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: FL ME94188) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: OH 35084470) |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2020-03-19 |