| NPI | 1871576603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: CA G40776) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner (Licence: CA G40776) |
| Enumeration Date | 2005-11-25 |
| Last Update Date | 2018-11-15 |