| NPI | 1295881811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: UT 7245724-1205) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: UT 7245724-1205) |
| 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: CO 47494) | |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2023-09-08 |