| NPI | 1639584014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: KY 54318) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036.152601) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01084758A) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: GA 077952) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 125065611) | |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2021-07-08 |