| NPI | 1023546041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CA 20A18908) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 94-09223) |
| 208100000X Physical Medicine & Rehabilitation (Licence: KS 94-09223) | |
| Enumeration Date | 2017-06-03 |
| Last Update Date | 2021-11-11 |