| NPI | 1992881650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CA A35778) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CA A35778) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2020-03-20 |