| NPI | 1194470757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX 1070718) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1070718) |
| Enumeration Date | 2022-02-12 |
| Last Update Date | 2024-10-10 |