| NPI | 1194019158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX Q0354) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IA DO-04572) |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2023-12-21 |