NPI | 1679544969 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 183770) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NY 183770) |
Enumeration Date | 2006-01-27 |
Last Update Date | 2023-05-18 |