| NPI | 1811315385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: AL 44758) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: AL 44758) |
| 208600000X Surgery (Licence: WI 75331-20) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2023-06-28 |