| NPI | 1689023616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01089520A) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT211892) | |
| 207R00000X Internal Medicine (Licence: IN 01089520A) | |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2023-08-31 |