| NPI | 1629278163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX Q3068) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301096060) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 4301096060) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2019-02-14 |