| NPI | 1639456866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2026-03127) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN MD52886) |
| 207R00000X Internal Medicine (Licence: VA 0101284754) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: TN 52886) | |
| Enumeration Date | 2011-11-16 |
| Last Update Date | 2026-07-17 |