NPI | 1992054431 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: KS 15-01553) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: 15-01553) |
Enumeration Date | 2012-08-30 |
Last Update Date | 2020-10-28 |