| NPI | 1033542345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2081N0008X Physical Medicine & Rehabilitation, Neuromuscular Medicine (Licence: CO dr.0058123) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MS 25746) |
| 207Q00000X Family Medicine (Licence: WV 3301) | |
| 207Q00000X Family Medicine (Licence: AZ 007690) | |
| 207Q00000X Family Medicine (Licence: NH 18918) | |
| 207Q00000X Family Medicine (Licence: FL OS12303) | |
| 207Q00000X Family Medicine (Licence: CO CDRH.0058123) | |
| 207Q00000X Family Medicine (Licence: WI 23-321) | |
| 207Q00000X Family Medicine (Licence: IL 036145976) | |
| 207Q00000X Family Medicine (Licence: MN 63752) | |
| Enumeration Date | 2013-08-11 |
| Last Update Date | 2022-07-21 |