| NPI | 1013147206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: MO 2015039913) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: PA MD440215) |
| 207RG0100X Internal Medicine Gastroenterology (Licence: CA A107916) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA A107916) | |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2023-03-02 |