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 |