| NPI | 1669462883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: CA G55454) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: GA 039965) |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2023-11-13 |