| NPI | 1780095430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CA 184538) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NE 31840) |
| Enumeration Date | 2014-05-15 |
| Last Update Date | 2023-03-15 |