| NPI | 1790787158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX F5171) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX MDF5171) |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2015-05-04 |