| NPI | 1033644398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NC 239291) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 51218) |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2022-05-16 |