| NPI | 1407989973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CA G58307) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: FL ME97603) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2023-08-14 |