| NPI | 1326677832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA 179383) |
| Enumeration Date | 2020-04-06 |
| Last Update Date | 2026-06-30 |