| NPI | 1275688319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CA A80440) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: FL ME94194) |
| 208100000X Physical Medicine & Rehabilitation (Licence: WA MD60518473) | |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2022-10-19 |