| NPI | 1154600112 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: NY 266525) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 266525) | 
| Enumeration Date | 2011-08-09 | 
| Last Update Date | 2015-04-03 |