| NPI | 1699054387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NM MD2017-0077) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CO DR.0060156) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NM RS2015-0475) | |
| Enumeration Date | 2011-08-11 |
| Last Update Date | 2020-05-03 |