NPI | 1902138217 |
---|---|
Former Name | REKHA PINJALA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9111839) |
Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS44664) |
183500000X Pharmacist (Licence: MA 24667) | |
Enumeration Date | 2010-02-11 |
Last Update Date | 2020-01-30 |