| NPI | 1730542663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 66265) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NE 30249) |
| 207Q00000X Family Medicine (Licence: NE 30246) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2023-06-27 |