NPI | 1912438003 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: PA MD477631) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 272287) |
Enumeration Date | 2017-03-21 |
Last Update Date | 2022-08-19 |