| NPI | 1255629655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MI 4301099223) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301099223) |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2016-01-28 |