| NPI | 1639631872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: VA 0102206453) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: VA 0102206453) |
| Enumeration Date | 2019-04-05 |
| Last Update Date | 2026-05-08 |