| NPI | 1760972798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL TRN31114) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01090945A) |
| Enumeration Date | 2018-05-15 |
| Last Update Date | 2023-10-16 |