| NPI | 1720442353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: IN 02006097A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 02006097A) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-04-10 |
| Last Update Date | 2022-01-17 |