| NPI | 1083307441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 11023978A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125081689) |
| Enumeration Date | 2023-05-31 |
| Last Update Date | 2025-05-08 |