| NPI | 1467913111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX T0018) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: TX 693367) |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2025-10-10 |