| NPI | 1245239227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101050002) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: VA 0101050002) |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2025-07-24 |