| NPI | 1376772913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CA 132455) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: WA ML60092975) |
| Enumeration Date | 2009-07-03 |
| Last Update Date | 2021-12-15 |