| NPI | 1467686444 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX P6746) | 
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: TX P6746) | 
| Enumeration Date | 2009-05-06 | 
| Last Update Date | 2019-11-25 |