| NPI | 1609404037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: MN 69692) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 30791) |
| 208100000X Physical Medicine & Rehabilitation (Licence: MN 69692) | |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2024-06-19 |