| NPI | 1578323689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MN 80311) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 34197) |
| Enumeration Date | 2024-03-19 |
| Last Update Date | 2025-09-02 |