| NPI | 1083024558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 306669) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS 25221) |
| 208100000X Physical Medicine & Rehabilitation (Licence: LA 306669) | |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2022-08-16 |