| NPI | 1154726305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NV A-0024) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: CA AT-2466) |
| Enumeration Date | 2014-10-30 |
| Last Update Date | 2014-10-31 |