| NPI | 1770504375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081H0002X (Licence: KY 30437) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 30437) |
| 208100000X Physical Medicine & Rehabilitation (Licence: KY 30437) | |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2024-10-29 |