| NPI | 1831686104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX PA11827) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA11827) |
| Enumeration Date | 2018-04-22 |
| Last Update Date | 2020-03-12 |