| NPI | 1265692271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX N7469) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 149014) |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2012-10-12 |