| NPI | 1780846394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX P6289) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD p22767) |
| 207R00000X Internal Medicine (Licence: TX P6289) | |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2014-03-14 |