| NPI | 1639662380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CO DR.0068149) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 94-09546) |
| Enumeration Date | 2018-06-07 |
| Last Update Date | 2023-01-31 |