| NPI | 1942527601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX P5928) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: CA A137313) |
| Enumeration Date | 2010-04-21 |
| Last Update Date | 2019-09-13 |