| NPI | 1023904521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MN 83261) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R-13631) |
| Enumeration Date | 2025-06-13 |
| Last Update Date | 2026-07-27 |