| NPI | 1548843451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MN 74805) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: CO 77490) |
| 208100000X Physical Medicine & Rehabilitation (Licence: MN 33176) | |
| Enumeration Date | 2021-04-29 |
| Last Update Date | 2026-08-05 |