| NPI | 1780020123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA C173865) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 256204) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2022-06-17 |