| NPI | 1043281033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 200500458) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NC 2005-00452) |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2015-10-21 |