| NPI | 1578192142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MN 80893) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MI 4301511598) |
| Enumeration Date | 2020-04-06 |
| Last Update Date | 2025-11-17 |