| NPI | 1750065132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MO 2024013774) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT228608) |
| Enumeration Date | 2023-06-14 |
| Last Update Date | 2024-06-16 |