| NPI | 1427252949 | 
|---|---|
| Former Name | CAMELIA MITCHELL | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX N0989)  | 
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: TN 43432)  | 
| Enumeration Date | 2007-06-11 | 
| Last Update Date | 2009-06-10 |