| NPI | 1174697114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA A37183) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: CA A37183) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2011-08-05 |