| NPI | 1073176939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 280048) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MA 280048) |
| Enumeration Date | 2019-04-17 |
| Last Update Date | 2023-09-30 |