| NPI | 1144422031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MN 51238) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MN 103884) |
| Enumeration Date | 2007-06-03 |
| Last Update Date | 2020-08-19 |