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 |