| NPI | 1235756933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: ND RL16713) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ND RL16713) |
| Enumeration Date | 2020-06-29 |
| Last Update Date | 2021-07-16 |