NPI | 1104951235 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: CA 160745) |
Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: KS 0434465) |
207RR0500X Internal Medicine, Rheumatology (Licence: MO 2012022046) | |
Enumeration Date | 2007-02-22 |
Last Update Date | 2021-11-18 |