| NPI | 1114991155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner (Licence: AZ 21064) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 21064) |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2021-06-10 |