| NPI | 1376835439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX R1563) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NY 275112) |
| Enumeration Date | 2011-05-09 |
| Last Update Date | 2019-06-03 |