| NPI | 1659891737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 323004) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 323004-01) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 11019416A) | |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2023-12-18 |