| NPI | 1033312442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 02004512A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036129571) |
| 207Q00000X Family Medicine (Licence: MI 5101016722) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 5101016722) | |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2022-10-03 |