| NPI | 1164955654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 2023-01782) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 2023-01782) |
| 207R00000X Internal Medicine (Licence: NC 2023-01782) | |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2024-07-15 |