NPI | 1326396565 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: KS 15-01550) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: KS 15-01550) |
Enumeration Date | 2012-08-20 |
Last Update Date | 2020-10-28 |