| NPI | 1730763574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: PA MT232304) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD486818) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: RI LP05216) | |
| Enumeration Date | 2021-05-07 |
| Last Update Date | 2024-10-21 |