| 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 |