| NPI | 1801061098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MN 55175) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MI 5101017476) |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2025-03-31 |