| NPI | 1356504385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MO 2013027011) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: TX P7647) |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2025-10-03 |