NPI | 1225209257 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MS 24966) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NY 265371) |
207R00000X Internal Medicine (Licence: GA 002755) | |
Enumeration Date | 2008-03-18 |
Last Update Date | 2021-10-08 |