| NPI | 1588219737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P0301X Physical Medicine & Rehabilitation, Brain Injury Medicine (Licence: MN 72786) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: TX 47296) |
| 208100000X Physical Medicine & Rehabilitation (Licence: MI 4301503070) | |
| Enumeration Date | 2019-08-05 |
| Last Update Date | 2024-07-31 |