| NPI | 1134373400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: MN 52253) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MN 52253) |
| 208100000X Physical Medicine & Rehabilitation (Licence: WA MD60346762) | |
| Enumeration Date | 2008-11-12 |
| Last Update Date | 2021-02-16 |