| NPI | 1063442804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: ND PT16025) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD60570885) |
| 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: WA MD60570885) | |
| 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: IN 01074112) | |
| 2081P0301X Physical Medicine & Rehabilitation, Brain Injury Medicine (Licence: WA MD60570885) | |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2023-06-01 |