| 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 |