NPI | 1851321889 |
---|---|
Former Name | ANURADHA ISKA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A94640) |
Additional Taxonomies | 207QA0000X Family Medicine, Adolescent Medicine (Licence: CA A94640) |
Enumeration Date | 2006-07-04 |
Last Update Date | 2007-07-08 |