| NPI | 1003428772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CA PT304437) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: HI 5054) |
| Enumeration Date | 2020-08-23 |
| Last Update Date | 2023-10-09 |