| NPI | 1205181401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX Q1578) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: TX BP20042719) |
| Enumeration Date | 2012-07-13 |
| Last Update Date | 2018-08-08 |