| NPI | 1780112979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01083794A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX T0661) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-06-01 |
| Last Update Date | 2023-01-05 |