| NPI | 1629457791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX S9490) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: LA 321066) |
| 208100000X Physical Medicine & Rehabilitation (Licence: TX 46917) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2024-10-01 |