| NPI | 1588082143 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 02005286A) | 
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101020911) | 
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-04-01 | 
| Last Update Date | 2018-02-17 |