| NPI | 1124222401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 2008-01739) |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2011-12-13 |