| NPI | 1164109559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MO 2024023258) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2023025485) |
| Enumeration Date | 2023-06-28 |
| Last Update Date | 2024-06-27 |