| NPI | 1710991740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX L1947) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: TX L1947) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2014-12-10 |