| NPI | 1811169683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CA 20A14793) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: CO 51271) |
| 208100000X Physical Medicine & Rehabilitation (Licence: OR DO170157) | |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2016-08-04 |