NPI | 1922480789 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: CA A171345) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: 390200000X3) |
Enumeration Date | 2015-06-29 |
Last Update Date | 2021-07-06 |