| NPI | 1811284102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CA A120159) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: ME MD19174) |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2016-12-06 |