| NPI | 1851939326 |
|---|---|
| Professional Name | BERRY CHERIYAN THAVALATHIL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: PR 21860) |
| Additional Taxonomies | 261QR1300X Clinic/Center Rural Health (Licence: PR 21860) |
| Enumeration Date | 2019-12-16 |
| Last Update Date | 2021-05-15 |