| NPI | 1114506581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0000X (Licence: MN 74919) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MN 74919) |
| Enumeration Date | 2021-04-05 |
| Last Update Date | 2026-07-22 |