| NPI | 1063491199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner (Licence: CO 41710) |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: WA MD00048553) |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2008-11-24 |