| NPI | 1124006119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CO DR0029314) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: TX G8233) |
| 2081P0004X Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine (Licence: CO DR0029314) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: WA MD60610353) | |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2022-07-21 |