| NPI | 1053405712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CA A110395) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: OH 35086210) |
| 208100000X Physical Medicine & Rehabilitation (Licence: NY 225974) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2018-07-23 |