NPI | 1114449196 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: NY 020858-1) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 020858-1) |
Enumeration Date | 2017-07-12 |
Last Update Date | 2021-12-03 |