| NPI | 1649419698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WA MD60550684) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 2013-00025) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0116021196) | |
| Enumeration Date | 2009-02-16 |
| Last Update Date | 2023-08-25 |