| NPI | 1437269834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX G9562) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: TX G9562) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2017-07-30 |