| NPI | 1073776001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CA C162115) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: TX P4070) |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2026-03-23 |