| NPI | 1821226978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MI 4301094300) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301094300) |
| 208100000X Physical Medicine & Rehabilitation (Licence: CA A114776) | |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2021-03-31 |