| NPI | 1235393844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: WI 53152) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: TX N9562) |
| 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: WI 53152) | |
| 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: TX N9562) | |
| Enumeration Date | 2008-07-12 |
| Last Update Date | 2018-03-17 |