| NPI | 1629203898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: CA A137053) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: CA A137053) |
| Enumeration Date | 2009-05-18 |
| Last Update Date | 2016-04-05 |