| NPI | 1770632945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301080335) |
| Additional Taxonomies | 174400000X Specialist (Licence: MI 4301080335) |
| 208100000X Physical Medicine & Rehabilitation (Licence: MI 4301080335) | |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2023-12-22 |