| NPI | 1922187749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MT MT8391) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MT MT8391) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2007-07-08 |