| NPI | 1063156552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MN 82749) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: CA A190313) |
| Enumeration Date | 2022-04-21 |
| Last Update Date | 2026-06-10 |