| NPI | 1184685588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX J9034) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner (Licence: MD D0052414) |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2017-08-23 |