NPI | 1497215784 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: IL 036171952) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP10078213) |
207R00000X Internal Medicine (Licence: IL 125.073603) | |
Enumeration Date | 2019-03-22 |
Last Update Date | 2025-05-05 |