| NPI | 1336844778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: AR E-18436) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: AR E-18436) |
| Enumeration Date | 2023-04-04 |
| Last Update Date | 2024-12-05 |