| NPI | 1720064983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MA 81132) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 81132) |
| Enumeration Date | 2005-12-20 |
| Last Update Date | 2018-08-09 |