| NPI | 1609295518 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX U0768) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036142635) | 
| 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 336103981) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-04-08 | 
| Last Update Date | 2023-01-18 |