| NPI | 1336356203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CA 20A11699) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA 20A11699) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2022-07-21 |