| NPI | 1538304605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX Q1238) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: ID M-15416) |
| Enumeration Date | 2008-12-03 |
| Last Update Date | 2020-11-11 |