| NPI | 1104318419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OR MD210968) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD210968) |
| 207R00000X Internal Medicine (Licence: FL 149570) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-06-01 |
| Last Update Date | 2025-07-14 |