| NPI | 1205218658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: WI 76956) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: IL 036.145897) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2022-07-28 |