| NPI | 1114457769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01082125A) |
| Additional Taxonomies | 208D00000X General Practice (Licence: IN 01082125A) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 11019513A) | |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2020-05-29 |