| NPI | 1174100648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MN 71983) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 31636) |
| Enumeration Date | 2021-03-29 |
| Last Update Date | 2024-01-02 |