| NPI | 1679317986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MO 2025023249) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2024023765) |
| Enumeration Date | 2024-06-21 |
| Last Update Date | 2025-06-26 |