| NPI | 1164681052 | 
|---|---|
| Former Name | PRIYA SHANMUGA KUPPUSAMY | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD D72084)  | 
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: DC MD500002436)  | 
| Enumeration Date | 2008-06-05 | 
| Last Update Date | 2024-04-30 |