| NPI | 1871570101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX J3091) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX J3091) |
| 225400000X Rehabilitation Practitioner (Licence: TX J3091) | |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2012-01-03 |