| NPI | 1770715765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: TX P3681) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX p3681) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH 57.015973) | |
| Enumeration Date | 2009-08-10 |
| Last Update Date | 2022-07-01 |