| NPI | 1043747470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 2024-00935) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA10817600) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-05-16 |
| Last Update Date | 2024-08-21 |