| NPI | 1609491513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MO 2021014853) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2020014565) |
| Enumeration Date | 2020-06-16 |
| Last Update Date | 2021-06-30 |