| NPI | 1063673622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN MD0000047159) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01066950A) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 11014308A) | |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2011-09-08 |