| NPI | 1477741759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: WA MD60545467) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL 14242) |
| 207RG0100X Internal Medicine Gastroenterology (Licence: FL ME112669) | |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2015-10-01 |