NPI | 1952729089 |
---|---|
Former Name | DEVINA MOHAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 2019.01066) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35.131469) |
Enumeration Date | 2014-04-05 |
Last Update Date | 2019-10-02 |