| NPI | 1518551894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX PA14282) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: TX pa14282) |
| Enumeration Date | 2021-02-26 |
| Last Update Date | 2022-06-21 |