| NPI | 1780029082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CA A133240) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: CA In-Training) |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2018-03-17 |