| NPI | 1053737403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX J4075) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX J4075) |
| 2081P0004X Physical Medicine & Rehabilitation Spinal Cord Injury Medicine (Licence: TX J4075) | |
| 2081P2900X Physical Medicine & Rehabilitation Pain Medicine (Licence: TX J4075) | |
| 2081S0010X Physical Medicine & Rehabilitation Sports Medicine (Licence: TX J4075) | |
| Enumeration Date | 2014-03-10 |
| Last Update Date | 2018-08-21 |