NPI | 1548782279 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: VT 042.0017593) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP10059668) |
Enumeration Date | 2017-07-14 |
Last Update Date | 2024-08-26 |