| NPI | 1851655765 |
|---|---|
| Former Name | LEENA RACHEL PHILIP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MB09680500) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OS017348) |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2016-10-26 |