| NPI | 1336409044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA 15024) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: CA 10524) |
| Enumeration Date | 2012-05-29 |
| Last Update Date | 2012-05-29 |