| NPI | 1942395496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: TX j3009) |
| Additional Taxonomies | 305R00000X Preferred Provider Organization (Licence: TX J3009) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2013-12-10 |