| NPI | 1730747601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WA MD61657474) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MT225086) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 280485) | |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2025-08-27 |