| NPI | 1407317886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CA 23451) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: WA OP61411798) |
| Enumeration Date | 2019-03-27 |
| Last Update Date | 2025-10-10 |