| NPI | 1104385079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: GA 99830) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 99830) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: TX U8935) | |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2024-10-03 |