| NPI | 1952717316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX S2609) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MO 2018017648) |
| Enumeration Date | 2014-07-07 |
| Last Update Date | 2026-01-30 |