| NPI | 1871727396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 2015-01167) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT194931) |
| 207R00000X Internal Medicine (Licence: NC 2015-01167) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT194931) | |
| Enumeration Date | 2009-05-12 |
| Last Update Date | 2017-12-14 |