| NPI | 1861622185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX P6487) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL C6936/AU3890402) |
| Enumeration Date | 2009-07-21 |
| Last Update Date | 2020-02-05 |