| NPI | 1942540836 |
|---|---|
| Former Name | JOHANNA NIROSHINI EPHRAIM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OK 2213) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: VA 0110-004725) |
| Enumeration Date | 2013-02-28 |
| Last Update Date | 2018-09-24 |