| NPI | 1194103275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX BP20055191) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10052632) |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2016-06-24 |