| NPI | 1689980534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CA 20A11349) |
| Additional Taxonomies | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: CA 20A11349) |
| 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: CA 20A11349) | |
| Enumeration Date | 2010-08-28 |
| Last Update Date | 2018-09-14 |