| NPI | 1063492874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: VA 0101052872) |
| Additional Taxonomies | 171000000X Military Health Care Provider (Licence: VA 0101052872) |
| 207R00000X Internal Medicine (Licence: VA 0101052872) | |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2020-08-07 |