NPI | 1962493569 |
---|---|
Former Name | ANITA NAGABHYRU |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA MD.202626) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 47113) |
Enumeration Date | 2005-11-02 |
Last Update Date | 2023-02-13 |