| NPI | 1770214884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: WA ML.61425322) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT227219) |
| Enumeration Date | 2022-06-20 |
| Last Update Date | 2023-07-14 |