| NPI | 1457592339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: FL OS11037) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL OS 11037) |
| 207R00000X Internal Medicine (Licence: FL OS11037) | |
| Enumeration Date | 2009-03-23 |
| Last Update Date | 2023-11-13 |