| NPI | 1194975573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MA 257273) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KY 03323) |
| 208100000X Physical Medicine & Rehabilitation (Licence: KY 03323) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: CA 20A11938) | |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2023-05-12 |