| NPI | 1164951943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME147266) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01083468A) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-06-06 |
| Last Update Date | 2024-05-28 |