| NPI | 1972528792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX L5064) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: OK 22554) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2014-11-01 |