| NPI | 1063984029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 220526) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: AZ 220526) |
| Enumeration Date | 2018-12-31 |
| Last Update Date | 2023-01-05 |