| NPI | 1104213834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MI 4301510827) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207RR0500X Internal Medicine, Rheumatology (Licence: OH 35.140041) | |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2024-05-20 |