| NPI | 1104319284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: PA MT215421) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT215421) |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2021-05-18 |