NPI | 1821545708 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: PR 22218) |
Additional Taxonomies | 208D00000X General Practice (Licence: PR 022218) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: PR 6070555) | |
207R00000X Internal Medicine (Licence: PR 22218) | |
Enumeration Date | 2016-09-08 |
Last Update Date | 2025-06-30 |