| NPI | 1437680048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: MN 64370) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MN 64370) |
| Enumeration Date | 2017-03-24 |
| Last Update Date | 2024-01-15 |