| NPI | 1164479499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NH 17847) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 152635) |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2020-03-23 |