| NPI | 1053872960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01088161A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 29858) |
| 207R00000X Internal Medicine (Licence: MN 67706) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2023-01-24 |