| NPI | 1316387814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2018036863) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MO 2013021140) |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2024-08-08 |