NPI | 1578191813 |
---|---|
Former Name | KAVITA RACHEL JESSICA JOHN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 69819) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 30754) |
Enumeration Date | 2020-03-31 |
Last Update Date | 2024-01-19 |