| NPI | 1679266431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: PA OT022396) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT022396) |
| Enumeration Date | 2023-05-30 |
| Last Update Date | 2024-06-20 |