| NPI | 1881128510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CA A179531) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: AL 37666) |
| Enumeration Date | 2017-04-19 |
| Last Update Date | 2022-10-17 |