| NPI | 1104206077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: FL TRN27052) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 94-08572) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: KS 04-43181) | |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2021-01-07 |