| NPI | 1548649726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036.150738) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01082920A) |
| 207Q00000X Family Medicine (Licence: CA A171609) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207Q00000X Family Medicine (Licence: MN 60851) | |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2021-11-09 |