| NPI | 1356894398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: PR 22323) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 34226) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-07-26 |
| Last Update Date | 2024-10-21 |