| NPI | 1952423170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 4301087892) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301087892) |
| 207R00000X Internal Medicine (Licence: MI 4301087892) | |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2012-09-19 |