| NPI | 1821403841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: PA OT016788) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA MA260180) |
| Enumeration Date | 2014-06-28 |
| Last Update Date | 2015-06-24 |