| NPI | 1487283347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: CA 20A19396) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: UT 13837989-1204) |
| Enumeration Date | 2020-04-03 |
| Last Update Date | 2026-02-18 |