| NPI | 1134583651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MN 67247) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207R00000X Internal Medicine (Licence: CA A152539) | |
| 207R00000X Internal Medicine (Licence: MN 67247) | |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2020-08-06 |