| NPI | 1447780614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: WV 31018) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: 00000000000000000000) |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2022-05-31 |