| NPI | 1497874895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 4301087878) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301087878) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301087878) | |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2012-06-14 |