| NPI | 1073048773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: CA 209287) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: CA 209287) |
| Enumeration Date | 2017-05-01 |
| Last Update Date | 2026-07-08 |