| NPI | 1528321122 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: WI 67201)  | 
| Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: WI 67201-20)  | 
| Enumeration Date | 2012-06-19 | 
| Last Update Date | 2021-01-14 |