| NPI | 1437511227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: FL ME144601) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MI 4301112556) |
| 207R00000X Internal Medicine (Licence: IL 125068285) | |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2022-07-21 |