| NPI | 1750415063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: VT 0420011649) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: VT 0600002821) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2009-09-03 |