| NPI | 1861447575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX S8570) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: VA 0101239550) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2020-12-30 |