NPI | 1497950125 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA md442372) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0116010545) |
207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0101247755) | |
Enumeration Date | 2007-06-21 |
Last Update Date | 2016-11-01 |