| NPI | 1235450610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA MD.206531) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: LA MD.206531) |
| Enumeration Date | 2010-06-19 |
| Last Update Date | 2020-01-31 |