| NPI | 1780212894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NE 37477) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NE 9612) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-04-01 |
| Last Update Date | 2026-06-16 |