| NPI | 1568620961 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01065799A)  | 
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 11013731A)  | 
| Enumeration Date | 2008-06-02 | 
| Last Update Date | 2011-06-28 |