| NPI | 1316449820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: HI MD-21233) |
| Additional Taxonomies | 208D00000X General Practice (Licence: HI 21233) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-03-01 |
| Last Update Date | 2022-11-18 |