| NPI | 1164189015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL 11016772) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: FL 11016772) |
| Enumeration Date | 2021-11-25 |
| Last Update Date | 2022-03-31 |