| NPI | 1033564521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: MN 76215) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: OH 35.140019) |
| Enumeration Date | 2016-05-03 |
| Last Update Date | 2024-10-07 |