NPI | 1982952453 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: WV 29103) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 280350) |
207R00000X Internal Medicine (Licence: WV 29103) | |
Enumeration Date | 2012-08-15 |
Last Update Date | 2021-07-06 |