| NPI | 1508484437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MS 32338) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MS T-4403) |
| 207R00000X Internal Medicine (Licence: MS T-4403) | |
| Enumeration Date | 2020-07-07 |
| Last Update Date | 2024-07-08 |