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 |