| NPI | 1811930431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: TX L6110) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: TX L6110) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2024-04-15 |