| NPI | 1043654890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 4301506841) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.128680) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: KY 52690) | |
| Enumeration Date | 2013-04-23 |
| Last Update Date | 2022-06-30 |