| NPI | 1639743594 |
|---|---|
| Former Name | NILEENA JOHNKUTTY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA OS024000) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2021-05-16 |
| Last Update Date | 2024-08-16 |