NPI | 1508123654 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX R6291) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX BP10054409) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2012-04-13 |
Last Update Date | 2021-09-01 |