| NPI | 1649966573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MN 77705) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MN 34093) |
| Enumeration Date | 2023-04-13 |
| Last Update Date | 2024-08-13 |