| NPI | 1861810137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: KS 04-43431) |
| Additional Taxonomies | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: MO 2020031452) |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2022-09-30 |