| NPI | 1003009986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX M6929) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX M6929) |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2023-06-09 |