| NPI | 1710349956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: VA 0101268596) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.027750) |
| 208100000X Physical Medicine & Rehabilitation (Licence: OH 57.027750) | |
| Enumeration Date | 2016-03-27 |
| Last Update Date | 2023-11-27 |