| NPI | 1225486319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: PA MD470755) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT211611) |
| Enumeration Date | 2016-05-30 |
| Last Update Date | 2020-08-06 |