NPI | 1386029262 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: AL 45962) |
Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: PA MD469852) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT208377) | |
Enumeration Date | 2015-07-21 |
Last Update Date | 2024-02-01 |