| NPI | 1780962621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 267978) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 267978) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 267978) | |
| Enumeration Date | 2011-07-26 |
| Last Update Date | 2018-03-17 |