| NPI | 1346807872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036161798) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 11020336A) |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2024-03-04 |