| NPI | 1255324422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MA 289964) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: TX L6955) |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2023-10-25 |