| NPI | 1144671116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CA 20A25441) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 268206) |
| 208100000X Physical Medicine & Rehabilitation (Licence: VA 0102206785) | |
| Enumeration Date | 2016-06-30 |
| Last Update Date | 2026-07-28 |