| NPI | 1912112319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: TX M9498) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: AL 25716) |
| 208000000X Pediatrics (Licence: AL MD25716) | |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2022-01-27 |