| NPI | 1558407858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX N3129) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MD P19881) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2011-10-05 |