| NPI | 1174556948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX L9893) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: TX L9893) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2023-02-23 |