| NPI | 1982952453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: VA 0101284374) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 280350) |
| 207R00000X Internal Medicine (Licence: WV 29103) | |
| 207RR0500X Internal Medicine, Rheumatology (Licence: WV 29103) | |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2025-08-01 |