| NPI | 1295264091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: RI MD18517) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP03929) |
| 208100000X Physical Medicine & Rehabilitation (Licence: MA 275066) | |
| Enumeration Date | 2017-06-06 |
| Last Update Date | 2022-07-15 |