| NPI | 1922504281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: MN 74538) |
| Additional Taxonomies | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: OH 34.015669) |
| 208100000X Physical Medicine & Rehabilitation (Licence: MN 74538) | |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2024-05-29 |