NPI | 1578024519 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: WA MD61483707) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
207RR0500X Internal Medicine, Rheumatology (Licence: CA A176604) | |
Enumeration Date | 2019-03-30 |
Last Update Date | 2024-10-01 |