| NPI | 1497172456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IA MD-49356) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 1497172456) |
| 207Q00000X Family Medicine (Licence: IN 11017517A) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2022-01-20 |