| NPI | 1659633352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: CA A128576) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 6761) |
| 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: CA A128576) | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: CA A128576) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: CA A128576) | |
| Enumeration Date | 2012-06-09 |
| Last Update Date | 2024-05-06 |