| NPI | 1467986661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX T1390) |
| Additional Taxonomies | 202C00000X Independent Medical Examiner (Licence: TX 665450) |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2021-06-30 |