NPI | 1730747601 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MT225086) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 280485) |
Enumeration Date | 2019-06-05 |
Last Update Date | 2025-03-13 |