| NPI | 1801071014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: DC MD043038) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: VA 0101252240) |
| 208800000X Urology (Licence: VA 0101252240) | |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2022-10-26 |