| NPI | 1245868041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CA 20A22470) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA 20A22470) |
| Enumeration Date | 2020-03-29 |
| Last Update Date | 2026-10-01 |