| NPI | 1942560776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WA MD60741496) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: ZZ 23412) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MD P28070) | |
| Enumeration Date | 2012-05-27 |
| Last Update Date | 2022-07-21 |