| NPI | 1548468267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine (Licence: CA A117409) |
| Additional Taxonomies | 2081N0008X Physical Medicine & Rehabilitation Neuromuscular Medicine (Licence: CA A117409) |
| 2081P0301X Physical Medicine & Rehabilitation Brain Injury Medicine (Licence: CA A117409) | |
| 2081S0010X Physical Medicine & Rehabilitation Sports Medicine (Licence: CA A117409) | |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2023-02-26 |