| NPI | 1043501232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY 285722) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: TX R6144) |
| Enumeration Date | 2011-04-22 |
| Last Update Date | 2024-06-19 |