| NPI | 1336374081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: NC 2013-00672) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NC 2013-00672) |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2024-01-08 |