| NPI | 1881974574 |
|---|---|
| Former Name | KAVITHA SEBAMALAI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MA09499600) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2011-08-25 |
| Last Update Date | 2020-10-20 |