| NPI | 1033424932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0000X (Licence: TX P8131) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MI 51010179876) |
| Enumeration Date | 2010-08-16 |
| Last Update Date | 2021-09-27 |