| NPI | 1356515654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P0301X Physical Medicine & Rehabilitation, Brain Injury Medicine (Licence: TX Q1345) |
| Additional Taxonomies | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: TX Q1345) |
| 2083A0300X Preventive Medicine, Addiction Medicine (Licence: CA A109404) | |
| 2081P0301X Physical Medicine & Rehabilitation, Brain Injury Medicine (Licence: CA A109404) | |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2026-06-12 |