| NPI | 1417281197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01070891B) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 53573) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-09-28 |
| Last Update Date | 2016-09-14 |