| NPI | 1396981197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 254256) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: WI 100756) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-12-29 |
| Last Update Date | 2023-06-30 |