| NPI | 1194091421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MA 273414) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 277582) |
| 207R00000X Internal Medicine (Licence: MA 266775) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-03-30 |
| Last Update Date | 2020-06-02 |