| NPI | 1205221777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MD D85900) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D85900) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD489156C) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2025-04-10 |