| NPI | 1770080921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX T2990) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX T2990) |
| Enumeration Date | 2018-04-12 |
| Last Update Date | 2024-10-11 |