| NPI | 1902257025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: FL ME152719) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 008320) |
| 207R00000X Internal Medicine (Licence: FL ME152719) | |
| 207RR0500X Internal Medicine, Rheumatology (Licence: FL TRN29758) | |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2021-11-02 |