| NPI | 1588304927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: AR 1588304927) |
| Additional Taxonomies | 208D00000X General Practice (Licence: AR E-17882) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-04-01 |
| Last Update Date | 2024-10-03 |