NPI | 1972036325 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: PA MD478201) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA 29991164) |
Enumeration Date | 2017-04-04 |
Last Update Date | 2022-07-26 |