| NPI | 1659659936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NC 2015-01200) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: TX R2535) |
| Enumeration Date | 2011-08-03 |
| Last Update Date | 2017-08-01 |