| NPI | 1922487941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IA MD-48138) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: IA R-11071) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL TRN#21342) | |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2021-08-12 |