| NPI | 1710965934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX H2465) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: WA MD60279166) |
| 2081P0004X Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine (Licence: TX H2465) | |
| 2081P0301X Physical Medicine & Rehabilitation, Brain Injury Medicine (Licence: TX H2465) | |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2022-09-07 |