| NPI | 1902251234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036.148035) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036.148035) |
| 208M00000X Hospitalist (Licence: IL 036.148035) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-04-23 |
| Last Update Date | 2023-10-10 |