| NPI | 1417376286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 4301510369) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207R00000X Internal Medicine (Licence: VA 0101259877) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0101259877) | |
| 208D00000X General Practice (Licence: VA 0101259877) | |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2023-11-10 |