| NPI | 1356769319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA 20A19150) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: TX 0000000) |
| 208100000X Physical Medicine & Rehabilitation (Licence: CA 20A19150) | |
| Enumeration Date | 2014-04-06 |
| Last Update Date | 2025-05-09 |