| NPI | 1881942886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 336098118) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX Q8014) |
| 207R00000X Internal Medicine (Licence: NY 266056-1) | |
| Enumeration Date | 2012-08-22 |
| Last Update Date | 2016-05-10 |