| NPI | 1487158911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation Sports Medicine (Licence: CA A190064) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: CA A190064) |
| 2081S0010X Physical Medicine & Rehabilitation Sports Medicine (Licence: NY 316529) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: IL 125073213) | |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2024-04-27 |