| NPI | 1316176282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 4301094314) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 55061) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-07-13 |
| Last Update Date | 2021-03-08 |