| NPI | 1871481473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MO 2026027518) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2025023241) |
| Enumeration Date | 2025-06-24 |
| Last Update Date | 2026-06-30 |