| NPI | 1518302652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: PR 18885) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 18885) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: FL 138622) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-05-02 |
| Last Update Date | 2022-05-31 |