| NPI | 1689054389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MD H90074) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD H90074) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA OT016394) | |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2020-09-01 |