| NPI | 1518493428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CA A169365) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT213072) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2025-10-14 |