| NPI | 1073954962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01076756A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301103736) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301103736) | |
| Enumeration Date | 2013-07-09 |
| Last Update Date | 2020-10-01 |