| NPI | 1326481615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WA MD61245992) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: OR MD196448) | |
| 207R00000X Internal Medicine (Licence: TN 52840) | |
| Enumeration Date | 2013-04-17 |
| Last Update Date | 2022-05-02 |