| NPI | 1629380183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX P7440) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: TX BP10039421) |
| 207R00000X Internal Medicine (Licence: MA 245264) | |
| Enumeration Date | 2010-07-12 |
| Last Update Date | 2017-10-20 |