| NPI | 1952748220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MI 5101021428) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OT015087) |
| Enumeration Date | 2013-05-28 |
| Last Update Date | 2023-11-27 |