| NPI | 1740779156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MO 2023011943) |
| Additional Taxonomies | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: MO 2023011943) |
| 2081H0002X Physical Medicine & Rehabilitation, Hospice and Palliative Medicine (Licence: MO 2023011943) | |
| Enumeration Date | 2018-05-02 |
| Last Update Date | 2026-06-30 |