| NPI | 1730561473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 5101021973) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 02007999A) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 5101021973) | |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2026-01-30 |