| NPI | 1467024026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX BP10074788) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10074788) |
| Enumeration Date | 2021-07-13 |
| Last Update Date | 2021-07-20 |