| NPI | 1679210520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: LA 332227) |
| Enumeration Date | 2022-05-12 |
| Last Update Date | 2025-07-20 |