| NPI | 1225458870 |
|---|---|
| Former Name | ELIZA ANILA JACOB |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC 87728) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0102205276) |
| 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: GA 80030) | |
| Enumeration Date | 2014-04-22 |
| Last Update Date | 2022-12-19 |