| NPI | 1114154903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: CO 054288) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO TL3372) |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2021-04-22 |