| NPI | 1225617285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: TX U5547) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: TX U5547) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-04-06 |
| Last Update Date | 2023-08-17 |