NPI | 1861016081 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: NJ 25MB12771800) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA OT020257) |
Enumeration Date | 2020-06-03 |
Last Update Date | 2025-09-19 |