| NPI | 1063828523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IA MD-49249) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL 19794) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT222729) | |
| Enumeration Date | 2014-07-05 |
| Last Update Date | 2022-07-08 |