| NPI | 1679125520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: PA MT221931) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 8536) |
| Enumeration Date | 2019-07-11 |
| Last Update Date | 2023-05-30 |