NPI | 1033558093 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MD D0101188) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MA 256291) |
207R00000X Internal Medicine (Licence: MA 256291) | |
Enumeration Date | 2013-06-22 |
Last Update Date | 2024-11-11 |