| NPI | 1104576131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MN 74616) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 32491) |
| Enumeration Date | 2022-03-24 |
| Last Update Date | 2023-07-14 |