| NPI | 1023510674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 5601012064) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MI 5201005998) |
| Enumeration Date | 2018-02-28 |
| Last Update Date | 2024-02-06 |