| NPI | 1154974897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MN 67414) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: OH 35.135889) |
| Enumeration Date | 2019-07-22 |
| Last Update Date | 2020-08-14 |