NPI | 1376937656 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: CA A146173) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2015-03-24 |
Last Update Date | 2022-09-28 |