| NPI | 1255450797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX G7318) |
| Additional Taxonomies | 208D00000X General Practice (Licence: TX G7318) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2019-08-23 |