| NPI | 1366016503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IN 01087914A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT222713) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 01087914A) | |
| Enumeration Date | 2021-05-13 |
| Last Update Date | 2022-07-06 |