| NPI | 1588246698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MN 79074) |
| Additional Taxonomies | 208VP0000X (Licence: MN 79074) |
| Enumeration Date | 2021-04-27 |
| Last Update Date | 2026-07-06 |