NPI | 1619231362 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MI 4301114645) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.061297) |
Enumeration Date | 2012-06-27 |
Last Update Date | 2020-02-25 |