| NPI | 1568023083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ND RL15756) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: SD 14524) |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2023-07-27 |