| NPI | 1003051731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX N7457) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NV 13758) |
| Enumeration Date | 2008-12-09 |
| Last Update Date | 2024-04-25 |