| NPI | 1386662351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX q0405) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 055919) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0116022282) | |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2019-12-03 |