| NPI | 1245646116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: TX U5902) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: TX U5902) |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2023-11-07 |