| NPI | 1285898023 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MD D81862) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME109387) | 
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP10032775) | |
| Enumeration Date | 2008-07-10 | 
| Last Update Date | 2017-03-13 |