| NPI | 1013379080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: PA MD491918) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.027682) |
| 208100000X Physical Medicine & Rehabilitation (Licence: GA 90113) | |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2025-10-22 |