| NPI | 1750661526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 11017774A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R72516) |
| Enumeration Date | 2011-08-24 |
| Last Update Date | 2014-06-14 |