| NPI | 1982086583 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: TX T7089)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS019553)  | 
| 207R00000X Internal Medicine (Licence: PA OT016659)  | |
| Enumeration Date | 2015-06-19 | 
| Last Update Date | 2022-10-19 |