| 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 |