| NPI | 1447661657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CA A161567) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: PA MD463866) |
| Enumeration Date | 2014-05-12 |
| Last Update Date | 2026-04-22 |