| NPI | 1720305766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 2021-01751) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME138330) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MA 270514) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: Not Applicable) | |
| Enumeration Date | 2010-04-30 |
| Last Update Date | 2024-01-17 |