| NPI | 1144660838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01076829A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301103853) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301103853) | |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2021-04-05 |