NPI | 1669897856 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA OS018819) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MT MED-PHYS-LIC-89061) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-02-24 |
Last Update Date | 2024-07-23 |