| NPI | 1932876109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX PA15019) |
| Additional Taxonomies | 2081P0301X Physical Medicine & Rehabilitation, Brain Injury Medicine (Licence: TX PA15019) |
| 2084P0301X Psychiatry & Neurology, Brain Injury Medicine (Licence: TX PA15019) | |
| 363A00000X Physician Assistant (Licence: TX 734313) | |
| 2081P0004X Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine (Licence: TX PA15019) | |
| Enumeration Date | 2021-08-25 |
| Last Update Date | 2026-06-25 |