| NPI | 1033159082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: OR 4484) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: CA 18917) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2014-03-10 |