| NPI | 1902292238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MN 69990) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 19525) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: PR 191525) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: WI 22791) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2022-08-05 |