| NPI | 1326578246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: WA MD61140788) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.070325) |
| 207R00000X Internal Medicine (Licence: IL 125070325) | |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2023-05-19 |