| NPI | 1750679395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX R9492) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: PA MD450692) |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2011-07-18 |
| Last Update Date | 2025-11-12 |