| NPI | 1295114932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: WA OP60851254) |
| Enumeration Date | 2015-05-27 |
| Last Update Date | 2020-04-13 |