| NPI | 1922208545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX P0457) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX BP10029432) |
| 208100000X Physical Medicine & Rehabilitation (Licence: TX BP20031530) | |
| Enumeration Date | 2007-07-22 |
| Last Update Date | 2015-11-24 |