NPI | 1942292479 |
---|---|
Former Name | JAY MUTHUSWAMY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA03515300) |
Additional Taxonomies | 208D00000X General Practice (Licence: NJ 25MA03515300) |
208000000X Pediatrics (Licence: SD LT1129) | |
Enumeration Date | 2005-08-19 |
Last Update Date | 2010-04-12 |