| NPI | 1336266493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 4301083977) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A102803) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301083977) | |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2023-08-28 |