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 |