| NPI | 1750340253 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: PR 6469) | 
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: CA G54568) | 
| Enumeration Date | 2006-03-22 | 
| Last Update Date | 2011-05-26 |