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 |