| NPI | 1821289315 |
|---|---|
| Former Name | PRIYA ANN PULLUKAT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301508990) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036-121103) |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2024-02-22 |