| NPI | 1073502639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: PA MD039557E) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: TX G2241) |
| 2081P0004X Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine (Licence: TX G2241) | |
| Enumeration Date | 2005-10-17 |
| Last Update Date | 2007-12-26 |