| NPI | 1174842785 |
|---|---|
| Former Name | MAYURA SHASHIKANT PHADTARE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine Emergency Medical Services (Licence: TX P9691) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301096327) |
| Enumeration Date | 2010-05-21 |
| Last Update Date | 2016-01-13 |