| NPI | 1588282446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV 35968) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: WV 35968) | |
| Enumeration Date | 2020-07-08 |
| Last Update Date | 2026-06-18 |