| NPI | 1295993392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P0010X Physical Medicine & Rehabilitation Pediatric Rehabilitation Medicine (Licence: TX R0407) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: WI 62960-21) |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2022-10-04 |