| NPI | 1700200748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MN 66041) |
| Additional Taxonomies | 208D00000X General Practice (Licence: VA 0101259021) |
| Enumeration Date | 2014-02-11 |
| Last Update Date | 2024-01-22 |