| NPI | 1891744223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX P3608) |
| Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine (Licence: TX P3608) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2013-12-11 |