| NPI | 1871503938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation Sports Medicine (Licence: MN 27105) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 27150) |
| 2083X0100X Preventive Medicine Occupational Medicine (Licence: MN 27150) | |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2016-04-07 |