| NPI | 1265846034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA OS018048) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: PA OS018048) |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2018-11-13 |