| NPI | 1164839700 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: WA MD60954239) | 
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 036.141330) | 
| Enumeration Date | 2014-07-15 | 
| Last Update Date | 2019-07-02 |