| NPI | 1184748022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX H6204) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner (Licence: TX H6204) |
| Enumeration Date | 2007-03-17 |
| Last Update Date | 2016-11-11 |