NPI | 1073876199 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: OR MD211734) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT202013) |
207RR0500X Internal Medicine, Rheumatology (Licence: NY 290534) | |
Enumeration Date | 2012-06-22 |
Last Update Date | 2022-09-16 |