| NPI | 1780207472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX T9954) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10070768) |
| Enumeration Date | 2020-05-28 |
| Last Update Date | 2025-08-12 |