| NPI | 1528296266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX P6196) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: FL OS12110) |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2022-02-08 |