| NPI | 1912127424 |
|---|---|
| Former Name | PROMILA TUDU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 67961) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ND 14108) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2017-10-26 |