| NPI | 1063731537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 284284) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 254836) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301096330) | |
| Enumeration Date | 2010-05-24 |
| Last Update Date | 2023-06-28 |