Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175L00000X | Homeopath | A0709 | NV |
NPI | 1225545478 |
---|---|
Provider Name | Sowmya Sridharan |
First Address | Mckinney, TX 75070 |
Second Address | Mckinney, TX 75070 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/01/2018 |
Last Update Date | 04/03/2020 |