| NPI | 1912437773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: VA 0101282767) |
| Additional Taxonomies | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine (Licence: VA 0101282767) |
| 208100000X Physical Medicine & Rehabilitation (Licence: TX T1518) | |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2024-09-25 |