NPI | 1659399087 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: TX K1824) |
Additional Taxonomies | 207RS0010X Internal Medicine, Sports Medicine (Licence: TX K1824) |
Enumeration Date | 2006-07-17 |
Last Update Date | 2020-01-02 |