| NPI | 1578765665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01068776A) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 125052220) |
| 207Q00000X Family Medicine (Licence: ND PT10924) | |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2011-04-05 |