| NPI | 1013478700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 02006645A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 02006654A) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA OT019001) | |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2022-03-25 |