| NPI | 1356379911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CO CDR.0001655) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: TX M2400) |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2024-03-28 |