NPI | 1457672529 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: NY 280325) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OTO13136) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: PA OT013136) | |
Enumeration Date | 2010-06-11 |
Last Update Date | 2024-05-07 |