| NPI | 1851486435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 32615020) |
| Additional Taxonomies | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: NY 189897-1) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: WI 32615020) | |
| 207RR0500X Internal Medicine, Rheumatology (Licence: NY 1898971) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2007-07-08 |