| NPI | 1962939637 |
|---|---|
| Former Name | KUMBLA REETHU NAYAK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX S8471) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP10059403) |
| Enumeration Date | 2017-05-12 |
| Last Update Date | 2020-10-09 |