| NPI | 1801820170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: TX H8772) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NC 200200970) |
| 208100000X Physical Medicine & Rehabilitation (Licence: TX H8772) | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2023-05-12 |