| NPI | 1356551550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ AZ14076) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: AZ az 14076) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2012-07-10 |