| NPI | 1154380517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: TX L5328) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: TX L5328) |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2008-10-23 |