| NPI | 1922172600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CO 50793) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: CA A93639) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2015-12-28 |