| NPI | 1609684794 |
|---|---|
| Former Name | DIPA GAUTAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: DC NP1039997) |
| Enumeration Date | 2024-12-21 |
| Last Update Date | 2024-12-21 |