| NPI | 1124818570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MN 83307) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MI 5151017479) |
| Enumeration Date | 2025-05-08 |
| Last Update Date | 2026-07-30 |